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New Guidance On SHOP Online Enrollment Requirements

Implementing Health Reform. Although the Affordable Care Act’s individual health insurance marketplaces have received far more attention, the ACA also created Small Business Health Options (SHOP) marketplaces, where small businesses and their employees...

Published Tue, Apr 19 2016 11:34 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, 1332 waivers, SHOP exchanges, SHOP marketplace, SHOP enrollment
To Identify Patients For Care Management Interventions, Look Beyond Big Data

Five percent of patients incur nearly 50 percent of United States’ health care costs, and there is growing evidence that investing resources in these individuals can improve care while decreasing costs . In kind, provider organizations are increasingly...

Published Tue, Apr 19 2016 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health IT, Quality, Big Data, Population Health, Featured, Organization and Delivery, Costs and Spending, Equity and Disparities, super-utilizers, Health Professionals, chronic disease, Hospital readmissions, coordinated care, physician perspective, patient use of evidence
Health Affairs Forum: Envisioning The Future Of Value Based Payment

The American health care system is moving toward an era of personalized medicine where the appropriate course of treatment can be defined with greater precision for the individual patient. In this era of “big data,” traditional statistics...

Published Mon, Apr 18 2016 1:30 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Health Affairs Event
Addressing Health In America To Build Wealth

Today, two of the primary focal points for many policy leaders include boosting individual income growth and, independently, reducing health care spending growth . None that we’re aware of, however, have identified and are considering policies that address...

Published Mon, Apr 18 2016 8:45 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Featured, Insurance and Coverage, Costs and Spending, Equity and Disparities, chronic disease, health economics, out-of-pocket health care costs, Chronic Condition
Today’s Most Attractive National ACO Model Is Offered By…CMS

A large national payer recently announced the opportunity for Accountable Care Organizations (ACOs) to share in 100 percent of the savings they create for the payer’s largest book of business. Providers will have complete autonomy in how they manage the...

Published Fri, Apr 15 2016 1:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Hospitals, Population Health, Featured, Payment Policy, Insurance and Coverage, Organization and Delivery, Costs and Spending, Health Professionals, ACOs, MSSP, Medicare Shared Savings Program, Next Generation ACOs, value-based payment
Creating A Culture Of Whole Health: A Realistic Framework For Advancing Behavioral Health And Primary Care Together

People present in wholes, not pieces. Despite this irrefutable scientific fact, our health care delivery system has reinforced a false notion that mental health is separate from physical health . We further this fragmentation, whether or not we realize...

Published Thu, Apr 14 2016 11:26 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment, Primary Care, Workforce, Access, Technology, Health Philanthropy, GrantWatch, Mental Health, Health Care Delivery, Social Determinants of Health, Population Health, Payment Policy, Organization and Delivery, costs, Health Professionals, Behavioral Health, Robert Wood Johnson Foundation, culture of health, integrated care
Building Health Care Systems In Post-Earthquake, Post-Constitution Nepal

Nepal finds itself at a critical juncture in its history. On September 20, 2015 a new Constitution was brought into full force, crystallizing the coming of age of the world’s youngest democratic republic. Today, challenges abound in Nepal —...

Published Thu, Apr 14 2016 10:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Global Health, Quality, Hospitals, Population Health, Payment Policy, Organization and Delivery, Costs and Spending, Equity and Disparities, ACOs, triple aim, EHRs, public-private partnership, Nepal, universal health care, Nepal Health System Strategy
Health Affairs Web First: Significant Shifts Detected In Public Opinion About The ACA

Since the Affordable Care Act (ACA) became law in 2010, Americans have remained deeply divided in their overall assessments of the law and whether it should continue. A new study , being released as a Web First by Health Affairs , compared public opinion...

Published Wed, Apr 13 2016 1:19 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Insurance and Coverage, Costs and Spending, ACA, webfirst
Zubik v. Burwell Briefs Explore Potential Compromise

Implementing Health Reform. On March 24, 2016, the Supreme Court heard oral arguments in Zubik v. Burwell , the case through which religious organizations are challenging the requirement that they provide contraceptives as a woman’s preventive service...

Published Wed, Apr 13 2016 10:48 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, contraceptive coverage, contraceptive mandate, Religious Freedom Restoration Act, Zubik v. Burwell
Medicare Help At Home

Nine million community-dwelling Medicare beneficiaries—about one-fifth of all beneficiaries—have serious physical or cognitive limitations and require long-term services and supports (LTSS) that are not covered by Medicare . Nearly all have...

Published Wed, Apr 13 2016 7:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Palliative Care, Featured, Health Policy Lab, Insurance and Coverage, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Equity and Disparities, Health Professionals, Long-term Services and Supports, ACOs, chronic conditions, Aging and Health, nursing homes, Medicare Help at Home
HHS Analyzes 2016 Marketplace Premiums As 2017 Proposals Come In

Insurers began filing their 2017 qualified health plan (QHP) proposals with the federally facilitated marketplace on April 11, 2016 and will continue to do so through May 11. QHP insurers must submit initial rate tables for 2017 to the Centers for Medicare...

Published Tue, Apr 12 2016 12:12 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Following the ACA, Insurance and Coverage, Costs and Spending, ASPE, qualified health plans, cost-sharing reduction payments, advanced premium tax credits
What’s Behind The Surging Interest In Raising The Age To Buy Tobacco? (Podcast)

In trying to curb tobacco use, a growing number of state and local policymakers want to raise the minimum age to legally purchase cigarettes. On January 1, 2016, Hawaii became the first state to raise the age to 21. And in March, California lawmakers...

Published Tue, Apr 12 2016 12:00 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Podcast, Elsewhere@ Health Affairs, California, Hawaii, culture of health, tobacco, Smoking, cigarettes, smoking cessation
Oral Health, Veterans’ Health: Tidbits From The Grantmakers In Health Conference

I recently traveled to San Diego to attend the Grantmakers In Health (GIH) annual conference. The funding partners (who are like members) of this group are now mostly local or statewide foundations, Faith Mitchell, president and CEO of GIH , told attendees...

Published Tue, Apr 12 2016 11:15 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Consumers, Medicare, Access, Quality, Children, Health Philanthropy, GrantWatch, Mental Health, Oral Health, Health Promotion and Disease PreventionGW, Veterans' Health Care, seniors, Native Americans
In Rural States Policy Changes To Improve Access To Home Dialysis Are Vital

By its very nature, chronic kidney disease can rob individuals of their independence. It gradually causes a person to lose the ability to filter wastes from the body, and should kidneys fail entirely, a patient must rely on renal replacement therapy Read...

Published Tue, Apr 12 2016 9:40 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Health IT, Quality, Costs and Spending, Health Professionals, chronic disease, Telehealth, kidney disease, dialysis, rural health, nephrology
Milestones On The Path To Population Health

Use of the term “ population health ” has surged in recent years. Much of this enthusiasm has been driven by the idea that health reform would restructure incentives and unite the priorities of health care and public health. In practice, however, population...

Published Mon, Apr 11 2016 9:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Social Determinants of Health, Population Health, Featured, Equity and Disparities, Diabetes, chronic conditions, culture of health, New York City, New York City Health + Hospitals, hypertension

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New Guidance On SHOP Online Enrollment Requirements

To Identify Patients For Care Management Interventions, Look Beyond Big Data

Health Affairs Forum: Envisioning The Future Of Value Based Payment

Addressing Health In America To Build Wealth

Today’s Most Attractive National ACO Model Is Offered By…CMS

Creating A Culture Of Whole Health: A Realistic Framework For Advancing Behavioral Health And Primary Care Together

Building Health Care Systems In Post-Earthquake, Post-Constitution Nepal

Health Affairs Web First: Significant Shifts Detected In Public Opinion About The ACA

Zubik v. Burwell Briefs Explore Potential Compromise

Medicare Help At Home

HHS Analyzes 2016 Marketplace Premiums As 2017 Proposals Come In

What’s Behind The Surging Interest In Raising The Age To Buy Tobacco? (Podcast)

Oral Health, Veterans’ Health: Tidbits From The Grantmakers In Health Conference

In Rural States Policy Changes To Improve Access To Home Dialysis Are Vital

Milestones On The Path To Population Health